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Acquired epidermolysis bullosa(EBA)

MedGen UID:
37178
Concept ID:
C0079293
Disease or Syndrome
Synonyms: Acquired form of epidermolysis bullosa; EB acquisita; EBA; Epidermolysis bullosa acquisita
SNOMED CT: Epidermolysis bullosa acquisita (2772003); EBA - Epidermolysis bullosa acquisita (2772003); Acquired epidermolysis bullosa (2772003)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
Monarch Initiative: MONDO:0018747
Orphanet: ORPHA46487

Definition

A rare, chronic, incurable, sub epithelial autoimmune bullous disease characterized by the presence of tissue bound autoantibodies against type VII collagen within the basement membrane zone of the dermal-epidermal junction of stratified squamous epithelia. The patient's serum may also have anti-type VII collagen autoantibodies. The clinical presentation is varied, and may involve the skin, oral mucosa and the upper third of the esophagus. The classical presentation is reminiscent of hereditary dystrophic epidermolysis bullosa (EB) with skin fragility, blisters and erosions and skin scarring. Other non-classical clinical presentations include an inflammatory bullous pemphigoid-like eruption, a mucous membrane pemphigoid-like eruption, and an IgA bullous dermatosis-like disease. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAcquired epidermolysis bullosa

Professional guidelines

PubMed

Adamski J, Kinard T, Ipe T, Cooling L
Transfus Apher Sci 2015 Apr;52(2):171-82. Epub 2015 Feb 16 doi: 10.1016/j.transci.2015.02.005. PMID: 25886694
Jolles S
Clin Exp Immunol 2002 Sep;129(3):385-9. doi: 10.1046/j.1365-2249.2002.01967.x. PMID: 12197877Free PMC Article
Wojnarowska F, Kirtschig G, Khumalo N
Clin Dermatol 2001 Nov-Dec;19(6):768-77. doi: 10.1016/s0738-081x(00)00189-9. PMID: 11705687

Recent clinical studies

Etiology

Durdu M, Bozca BC, Enli S, Yazıcı Özgen Z, Yaylı S, Aktan Ş, Mutlu D, Erturan I, Ayvaz Çelik HH, Melikoğlu M, Pala E, Gürsel Ürün Y, Harman M, Şavk E, Işık S, Duygulu Ş, İmren IG, Fettahlıoğlu Karaman B, Kaya Erdoğan H, Kılıç A, Özçelik S, Inan K, Yılmaz MA, Şanlı HE, Kalay Yıldızhan İ, Mülayim MK, Çiçek D, Demir B, Yasak Güner R, Baykal Selçuk L, Gündüz K, Daye M, Borlu M, Solak EO, Dizman D, Güneş B, Ozkur E, Polat M, Eskiocak AH, Uzun S
Australas J Dermatol 2021 Nov;62(4):e496-e503. Epub 2021 Oct 12 doi: 10.1111/ajd.13731. PMID: 34642934
Vennarecci G, Miglioresi L, Guglielmo N, Pelle F, Santoro R, Andreuccetti J, Ceribelli C, Stella P, Angelo C, Ettorre GM
Exp Clin Transplant 2017 Jun;15(3):366-368. Epub 2015 Dec 15 doi: 10.6002/ect.2015.0018. PMID: 26671706
Epstein A, Hendrick SJ, Sanchez RL, Solomon AR, Fine JD
Arch Dermatol 1988 Feb;124(2):244-9. PMID: 3277544

Diagnosis

Torres-Iberico R, Henostroza-Inga K, Pérez-Córdova R, Lipa-Chancolla R
Bol Med Hosp Infant Mex 2023;80(Supl 1):77-81. doi: 10.24875/BMHIM.22000118. PMID: 37490686
Lazić-Mosler E, Jukić IL, Murat-Sušić S, Husar K, Skerlev M, Bukvić Mokos Z, Ishii N, Hashimoto T, Marinović B
J Dermatol 2015 Nov;42(11):1098-100. Epub 2015 Jun 5 doi: 10.1111/1346-8138.12958. PMID: 26046385
Esposito S, Guez S, Manzoni F, Bosco A, Rigante D
Immunol Res 2015 Feb;61(1-2):63-9. doi: 10.1007/s12026-014-8583-3. PMID: 25412732
Lacour JP, Bernard P, Rostain G, Baechler-Sadoul E, Pisani A, Ortonne JP
Pediatr Dermatol 1995 Mar;12(1):16-20. doi: 10.1111/j.1525-1470.1995.tb00117.x. PMID: 7792213
Hanno R, Bean SF
Am J Dermatopathol 1980 Winter;2(4):363-6. doi: 10.1097/00000372-198000240-00013. PMID: 7008639

Therapy

Torres-Iberico R, Henostroza-Inga K, Pérez-Córdova R, Lipa-Chancolla R
Bol Med Hosp Infant Mex 2023;80(Supl 1):77-81. doi: 10.24875/BMHIM.22000118. PMID: 37490686
Vennarecci G, Miglioresi L, Guglielmo N, Pelle F, Santoro R, Andreuccetti J, Ceribelli C, Stella P, Angelo C, Ettorre GM
Exp Clin Transplant 2017 Jun;15(3):366-368. Epub 2015 Dec 15 doi: 10.6002/ect.2015.0018. PMID: 26671706
Lazić-Mosler E, Jukić IL, Murat-Sušić S, Husar K, Skerlev M, Bukvić Mokos Z, Ishii N, Hashimoto T, Marinović B
J Dermatol 2015 Nov;42(11):1098-100. Epub 2015 Jun 5 doi: 10.1111/1346-8138.12958. PMID: 26046385
Lacour JP, Bernard P, Rostain G, Baechler-Sadoul E, Pisani A, Ortonne JP
Pediatr Dermatol 1995 Mar;12(1):16-20. doi: 10.1111/j.1525-1470.1995.tb00117.x. PMID: 7792213
Inauen P, Hunziker T, Gerber H, Bruckner-Tuderman L, Braathen LR
Br J Dermatol 1994 Dec;131(6):898-900. doi: 10.1111/j.1365-2133.1994.tb08598.x. PMID: 7857848

Prognosis

Durdu M, Bozca BC, Enli S, Yazıcı Özgen Z, Yaylı S, Aktan Ş, Mutlu D, Erturan I, Ayvaz Çelik HH, Melikoğlu M, Pala E, Gürsel Ürün Y, Harman M, Şavk E, Işık S, Duygulu Ş, İmren IG, Fettahlıoğlu Karaman B, Kaya Erdoğan H, Kılıç A, Özçelik S, Inan K, Yılmaz MA, Şanlı HE, Kalay Yıldızhan İ, Mülayim MK, Çiçek D, Demir B, Yasak Güner R, Baykal Selçuk L, Gündüz K, Daye M, Borlu M, Solak EO, Dizman D, Güneş B, Ozkur E, Polat M, Eskiocak AH, Uzun S
Australas J Dermatol 2021 Nov;62(4):e496-e503. Epub 2021 Oct 12 doi: 10.1111/ajd.13731. PMID: 34642934
Esposito S, Guez S, Manzoni F, Bosco A, Rigante D
Immunol Res 2015 Feb;61(1-2):63-9. doi: 10.1007/s12026-014-8583-3. PMID: 25412732
Epstein A, Hendrick SJ, Sanchez RL, Solomon AR, Fine JD
Arch Dermatol 1988 Feb;124(2):244-9. PMID: 3277544

Clinical prediction guides

Durdu M, Bozca BC, Enli S, Yazıcı Özgen Z, Yaylı S, Aktan Ş, Mutlu D, Erturan I, Ayvaz Çelik HH, Melikoğlu M, Pala E, Gürsel Ürün Y, Harman M, Şavk E, Işık S, Duygulu Ş, İmren IG, Fettahlıoğlu Karaman B, Kaya Erdoğan H, Kılıç A, Özçelik S, Inan K, Yılmaz MA, Şanlı HE, Kalay Yıldızhan İ, Mülayim MK, Çiçek D, Demir B, Yasak Güner R, Baykal Selçuk L, Gündüz K, Daye M, Borlu M, Solak EO, Dizman D, Güneş B, Ozkur E, Polat M, Eskiocak AH, Uzun S
Australas J Dermatol 2021 Nov;62(4):e496-e503. Epub 2021 Oct 12 doi: 10.1111/ajd.13731. PMID: 34642934

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